Peng Lee

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

190 Main St Apt C
Plymouth, NH 03264-1566

Phone

(971) 325-0792

NPI assigned

Sep 15, 2019

Last updated

Sep 15, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568505600000",
    "number": "1407406143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 MAIN ST APT C",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "032641566",
            "telephone_number": "971-325-0792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 MAIN ST APT C",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "032641566",
            "telephone_number": "971-325-0792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "PENG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-15",
        "last_updated": "2019-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OVERSEA MEDICAL INSURANCE",
            "identifier": "052519CH00009070",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Plymouth",
            "affiliation": "N",
            "address_1": "190 Main St Apt C",
            "city": "Plymouth",
            "state": "NH",
            "country_code": "US",
            "postal_code": "032641566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lake Podiatry, P.a.
• Aimee Lamotte, M.ED.
• Linda Langendorfer, OTA
• Barbara A Laverack
• Gabrielle Lebihan
• Kelly Bromley Legacy, DPT
• Mark David Legacy, MED, ATC
• Katie Leone
• Jessica M Lescarbeau, FNP-BC
• Linda S. Levy, EDD

• Student in an Organized Health Care Education/Training Program in Plymouth, NH
• Providers in Plymouth, NH by specialty
• Student in an Organized Health Care Education/Training Program in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.